叙事护理在母婴分离住院产妇保持正常泌乳状态的效果

Effect of Narrative Nursing on Keeping Normal Lactation State of Hospitalized Puerpera after the Separation of Mother and Infant

目的探讨叙事护理在住院期间母婴分离产妇保持正常泌乳状态的应用效果。方法选取2020年1月-12月在同济大学附属第十人民医院分娩,其新生儿分娩后即刻转科的产妇随机分成实验组和对照组。实验组在常规护理的模式下增加了叙事护理模式。分析两组的护理相关结局指标。结果采用χ^(2)检验,叙事护理组的产后首次挤奶时间、住院期间产后平均挤奶次数、泌乳Ⅱ期启动时间、产后抑郁评分等均优于对照组(P<0.01);多元线性回归分析显示,泌乳Ⅱ期启动时间与产后抑郁呈正相关,解释的总变异量为67.00%。结论叙事护理有利于住院期间母婴分离产妇保持正常泌乳,且能提升纯母乳喂养水平。

Objective To explore the application effect of narrative nursing in maintaining normal lactation state of parturients with mother infant separation during the hospitalization. Methods Parturients delivered in the Tenth People’s Hospital Affiliated to Tongji University from January to December 2020 and transferred immediately after the delivery were randomly divided into the experimental group and the control group. The experimental group added narrative nursing mode under the routine nursing mode. The nursing related outcome indexes of the two groups were analyzed. Results The first time of milking,average times of milking during the hospitalization,start time of lactation phase Ⅱ and postpartum depression score of the narrative nursing group were better than those of the control group(P < 0.01);Multiple linear regression analysis showed that the start time of lactation phase Ⅱ was positively correlated with the postpartum depression,and the total variance explained was 67.00%. Conclusion Narrative nursing is beneficial to keep the normal lactation of parturients with mother infant separation during the hospitalization,and can improve the level of pure breast feeding.